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General NPI Number Information
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NPI Number | 1184640633
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Entity Type | Organization
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Legal Business Name | MIAMI MEDICAL IMAGING INC
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 15387 SW 15TH LN
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City | MIAMI
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State | FL
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Zip | 33194-2671
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Country | US
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Telephone | 305-554-9599
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Fax | 305-554-9599
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Provider Business Mailing Address
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Address Line | PO BOX 660127
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City | MIAMI SPRINGS
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State | FL
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Zip | 33266-0127
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Country | US
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Telephone | 305-554-9599
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Fax | 305-554-9599
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MRS. DANAY PUEBLA LLANOS
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Credential | LMT
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Telephone | 305-554-9599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number |
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License Number State |
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